Sunshine Club Student Care Centre (SCC) Registration of Interest Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Full Name of Child *

Age *

Gender *

Male

Female

Home Address *

School and Level *

Please indicate which Primary School you have or intend to enroll your child into if they are currently not in Primary School yet.

Name of Parent/Guardian *

Relationship to Child *

Contact Number *

Email Address

Combined Income Bracket *

For Comcare SCFA application

< $2,000

$2,001 to $3,000

$3,001 to $4,000

Other:

Other Remarks

Consent for Collection, Use and/or Disclosure of Personal Data (Privacy Act) *

By submitting this form, I give my consent to Bethesda Care Services Sunshine Club Student Care Centre to collect, use and disclose my personal data to our intermediary for the purpose of notifying and contacting me regarding the Student Care Centre (SCC)'s registration via calls, text messages, post and emails. I am aware that I may update the personal data and/or withdraw the consent provided by me at any time by contacting the Student Care Centre (SCC).

Required

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms